Information Collection

Extramural Researcher External Stakeholder Survey screenshots

IC 213297 under ICR 201409-0925-004 · OMB 0925-0712.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0712 can be found here:

Documents and Forms

Document Name Document Type
Form 4 Extramural Researcher External Stakeholder Survey screenshots Form
4 Incentive Survey Distribution Screenshots Attachment 9 Incentive Distribution Form survey participants screenshots.pdf Form
5 Extramural Researcher External Stakeholder Survey screen Attachment 19 Extramural Researcher External Stakeholder Survey Screenshots.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Extramural Researcher External Stakeholder Survey screenshots	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	4	Incentive Survey Distribution Screenshots	Attachment 9 Incentive Distribution Form survey participants screenshots.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	5	Extramural Researcher External Stakeholder Survey screenshots	Attachment 19 Extramural Researcher External Stakeholder Survey Screenshots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.